Baby hydrocele surgery process

Hydrocele often occurs in infancy, but it may also occur in adults. If an adult suffers from hydrocele, surgery must be performed, otherwise it will affect their normal walking and urination. If a baby suffers from hydrocele during infancy, it may heal itself if it is not very serious before the baby is six months old. If it has not disappeared after six months, surgery is required. The following is a detailed introduction to the surgical process for hydrocele in babies.

Surgical procedure:

1. Anesthesia and body position:

1. Anesthesia: ketamine combined anesthesia.

2. Body position: supine position with head down and feet up -50°.

Second, surgical operation:

1. Incision and artificial pneumoperitoneum: make a 0.4 cm small incision on the umbilical fold, insert a pneumoperitoneum needle to inflate, and then puncture a hole to insert a micro-laparoscope. A 0.3 cm small incision was made 3 cm beside the left umbilicus, and a hole was made to insert the operating forceps.

2. Exploration: Under the microscope, there are three types of internal ring openings of hydrocele.

3. Suture the inner ring opening. Make a 0.15 cm small incision in the skin at the projection of the inner ring opening on the affected side. Insert the needle with thread from here to suture the inner half circle of the inner ring opening. The thread is brought into the abdominal cavity. Pull the needle with thread out of the abdominal cavity. Insert the hook needle from this incision again to suture the outer half circle of the inner ring opening. Hook the abdominal suture and bring it out of the abdominal cavity. At this time, the inner ring opening is sutured, the thread is tightened and tied under the skin, the inner ring opening is closed, the pneumoperitoneum is relieved, and the operation is ended. The incision does not need to be sutured.

4. Puncture and fluid extraction: For those who still have fluid accumulation in the scrotum and spermatic cord, puncture and fluid extraction can be performed, and then 20 mg of prednisolone acetate can be injected.

Tips

Hydrocele surgery is divided into primary hydrocele and secondary hydrocele from the pathological point of view; clinically it is divided into communicating and non-communicating hydrocele. This disease is not difficult to diagnose. It can be diagnosed by ultrasound showing anechoic images or liquid echoes in the scrotum or spermatic cord.

Most hospitals use surgery to treat hydrocele, but according to extensive statistics and clinical observations in our hospital, this disease has many complications after surgery. There are two different surgeries for this disease; 1. Complete vaginal excision. two. Sheath inversion.